Nolan, Kelly D
Nolan, Kelly D is an individual health care provider with primary practice located at 5770 S 250 E Suite 385, Murray UT 84107-8100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Nolan, Kelly D can be contacted via phone (801) 314-4475.Contact Information
Primary practice address
5770 S 250 E Suite 385
Murray UT 84107-8100
Phone: (801) 314-4475
Fax: (801) 314-4555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 49777881205 | Utah |
Profile Details
| NPI number | 1881709889 |
|---|---|
| LBN Legal business name | Nolan, Kelly D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Oct 22nd, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881709889 | NPPES |
| Utah | MEDICAID | 942854057059 |
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